Fuel selection in human skeletal muscle in insulin resistance: a reexamination.
D E Kelley, L J Mandarino
https://pubmed.ncbi.nlm.nih.gov/10905472/Actively Recruiting
Led by Instituto Nacional de Medicina Genomica · Updated on 2025-03-17
300
Participants Needed
1
Research Sites
46 weeks
Total Duration
Researchers are investigating metabolic flexibility, the bodys ability to switch between energy sources, which is important for health and linked to risks like obesity, metabolic syndrome, insulin resistance, and type 2 diabetes. This study focuses on how metabolic flexibility and the bodys metabolome change after consuming standardized meals with different mixes of carbohydrates, fats, and proteins. The goal is to understand how the body responds to these meals during the postprandial state, the period after eating. Participants receive three different standardized meal challenges in a randomized order a high carbohydrate meal, a high fat meal, and a high protein meal. Each meal must be consumed within 15 minutes, followed by a 5-minute rest and then 30 minutes of indirect calorimetry to measure metabolism. Capillary blood samples are taken before and at multiple time points after eating to analyze glucose, lipids, cholesterol, insulin, amino acids, and acyl-carnitines. The study lasts one month, with weekly visits where participants complete questionnaires about activity and diet and provide blood samples and metabolic measurements. Researchers assess metabolic flexibility using respiratory quotient and substrate oxidation, and monitor postprandial glucose, triglycerides, amino acids, and acyl-carnitines. Participants follow fasting and dietary instructions before each test. This comprehensive approach aims to provide insights into metabolic health based on responses to different meal compositions.
CONDITIONS
Postprandial Metabolome and Metabolic Flexibility
B
Berenice Palacios-Gonzalez, PhD
N
Noemi Meraz-Cruz, PhD
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Instituto Nacional de Medicina Genomica
Lead Sponsor
Universidad Nacional Autonoma de Mexico
Collaborating Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 3 weeks
Participants receive three different standardized meal challenges in a randomized order. Each challenge involves fasting overnight, followed by fasting indirect calorimetry, consumption of the test meal within 15 minutes, postprandial indirect calorimetry for 30 minutes, and multiple capillary blood samples collected over 2 hours to assess metabolic and hormonal responses.
Weekly visits for 3 weeks
Duration - 1 month
Participants are monitored weekly for one month with questionnaires assessing daily activity, health status, dietary intake, and anthropometric measurements.
Weekly visits for up to 4 weeks
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
PREVENTION
Number of Arms
3
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D E Kelley, L J Mandarino
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https://pubmed.ncbi.nlm.nih.gov/34330475/Instituto Nacional de Medicina Genomica
Lead Sponsor
Universidad Nacional Autonoma de Mexico
Collaborating Sponsor